<!doctype html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>申请提现</title>
    <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0">
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="format-detection" content="telephone=no">
    <link rel="stylesheet" type="text/css" href="../../css/reset.css">
    <link rel="stylesheet" type="text/css" href="../../css/main.css">
    <link rel="stylesheet" type="text/css" href="../../css/member.css">
    <link rel="stylesheet" type="text/css" href="../../css/widget_menu.css">
    <link rel="stylesheet" type="text/css" href="../../css/font-awesome/css/font-awesome.min.css">

</head>
<body>
    <div class="login-form">
        <form action="" method ="">
            <span>
                <input type="number" placeholder="申请金额" class="input-40 wx_apply_amount"/>
            </span>
            <!--<span>
                <input type="text" placeholder="提现账号" class="input-40 wx_account"/>
            </span>-->

             <!--<span>
                <input type="text" placeholder="验证码" class="input-40 wx_mobile_code"  />
            </span>
            <span id="wx_msg" style="margin: 0px;"></span>
            <div class="error-tips mt10"></div>
            <a href="javascript:void(0);" class="l-btn-login mt10 wx_user_send_code" st="1">
                发送验证码
            </a>-->
            <span id="wx_msg" style="margin: 0px;"></span>
            <a href="javascript:void(0);" class="l-btn-login mt10 wx_user_mobile_confirm">
                提交
            </a>
        </form>
    </div>
    <div data-role="widget" id="widget_wrap" data-widget="menu_4" class="menu_4"></div>

    <input type="hidden" name="referurl">
    <script type="text/javascript" src="../../js/config.js"></script>
    <script type="text/javascript" src="../../js/zepto.min.js"></script>
    <script type="text/javascript" src="../../js/template.js"></script>
    <script type="text/javascript" src="../../js/common.js"></script>
    <script type="text/javascript" src="../../js/tmpl/common-top.js"></script>
    <script type="text/javascript" src="../../js/tmpl/brokerage_apply.js"></script>
    <script type="text/javascript" src="../../js/tmpl/footer.js"></script>
    <script type="text/javascript" src="../../js/footer_menu.js"></script>

</body>
</html>